CMS Price Transparency Data
Total hip replacement
Facility: Adventist Health Tulare
Billing Code: 27130 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$5,196
about 0.4× the $13,117 Medicare rate · typically $1,348–$15,445
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $5,196 Cash price $134 Hospital's list price $704
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $1,147 - $1,786 | 9% |
| Blue Cross Blue Shieldmajor | $599 - $2,575 | 5% |
| Aetnamajor | $1,243 | 9% |
| Cignamajor | $1,654 | 13% |
| + 6 smaller / regional plans | $599 - $1,492 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Adventist Health Tulare
Compare: Total hip replacement at other CA hospitals
- Clovis Community Medical Center · Clovis $2,295
- Southwest Healthcare Rancho Springs Hospital · Murrieta $2,694
- Valley Children's Hospital · Madera $2,991
- Palmdale Regional Medical Center · Palmdale $3,833
- Corona Regional Medical Center · Corona $3,851
- Mercy Medical Center · Merced $5,819
- Riverside Community Hospital · Riverside $5,892
- Pomona Valley Hospital Medical Center · Pomona $6,405
Insurance negotiated median for the same procedure, sorted lowest first.